=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578041778
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCESSIBLE HOME HEALTH CARE OF CENTRAL MASSACHUSETTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2018
-----------------------------------------------------
Last Update Date | 07/31/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 319 SOUTHBRIDGE ST STE 220
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01501-2541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-859-1644
-----------------------------------------------------
Fax | 800-371-4959
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 319 SOUTHBRIDGE ST STE 220
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01501-2541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-859-1644
-----------------------------------------------------
Fax | 800-371-4959
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MARTINE V BEAUMONT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 603-233-9730
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------